larynx, pharynx, nasal cavity Flashcards
1
Q
Overview of larynx
A
- anterior of neck at level C3-C6
- designed for voice production
- connects pharynx with trachea
- guards air passages and maintains a patent airway
2
Q
Skeleton of Larynx
A
- hyoid bone + 7 cartilages:
1. thyoid
2. cricoid
3. epiglottis
4. arytenoid (2)
5. corniculate (2) - epiglottis folds over opening of larynx during swallowing
3
Q
arytenoid cartilage move in 3 ways:
A
- sliding on transverse axis
- sliding on anteroposterior axis
- rotating
- vocal ligaments run from arytenoid cartilages to the thyroid cartilage
4
Q
5 muscles of Larynx
A
- cricothyroid
- posterior cricoarytenoid
- lateral cricoarytenoid
- thyroarytenoid
- transverse and oblique arytenoids
5
Q
function and innvervation of lalryngeal muslces
A
- function of laryngeal muscles: modulate voice and airflow
- posterior cricoarytenoid is only mm. which ABDUCTs
- innervation: vagus nerve (CNX)
- exernal laryngeal br. of CN X to cricothyroid
- recurrent laryngeal br. CN X to all others
6
Q
injury to recurrent laryngeal nerve
A
- may be injured due to inflammation or surgery on structures around it in the neck (thyroid gland, trachea, esophagus)
- injury results in high-pitched, noisy respiration and breathy voice
7
Q
The pharynx
A
- Muscular tube that extends from base of cranium
- to inferior border of cricoid cartilage (anteriorly) and inferior border of C6 (posteriorly)
- conducts air to the larynx, trachea, and lungs (respiratory system)
- part of the digestive system which pushes food into the esophagus
8
Q
parts of pharynx
A
- nasopharynx
- oropharynx
- laryngopharynx
9
Q
Oropharynx & Laryngppharynx
A
Oropharynx- communicates with oral cavity, nasopharynx, and laryngopharynx
Laryngopharynx- communicates with larynx (voicebox) and esophagus
10
Q
Muscles of soft palate
A
- tensor veli palatini- tenses palate; CN V3 mandibular nerve
- levator veli palatini- elevates palate; CN X vagus nerve
11
Q
tonsils
A
- lymphatic tissue
- 4 tonsils form a defensive ring around the naso/oropharynx
- pharyngeal-superior
- palatine- lateral
- tubal-lateral
- lingual- inferior
12
Q
muscles of pharynx external layer
A
- superior, middle, inferior constrictors
- constrictors wall of pharynx during swallowing
- peristaltic wave
- inferior constrictor muscle blends in with esophagus
- innervated by vagus nerve via pharyngeal plexus
13
Q
muscles of pharynx internal layer
A
- palatopharyngeus
- salpingopharyngeus
- stylopharyngeus
- elevates pharynx and larynx during swallowing and speaking
- innervated by vagus nerve via pharyngeal plexus
- glossopharyngeal nerve
14
Q
Some innervation rules
A
- if tensor :CN V3
- if palato: CN X (unless rule 1 applies
- If glosso: CN XII (unless rule 2 applies)
15
Q
Stage I of deglutition
A
- voluntary
- food bolus pushed against palate via tongue
- bolus squeezed into oropharynx via tongue and soft palate
- tensor veli palatini: tenses soft palate, makes it rigid enough for the tongue to press against
- styloglossus
- palatoglosses: elevate tongue against palate